Active NPI
Joseph L Perl, PHD
- Clinical Psychologist
- Pleasant Valley, NY
National Provider Identifier
1164537585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0067161
- Practice address
- 1732 Main St
Pleasant Valley, NY 12569-5611 - Phone
- (845) 635-8224
- Fax
- (845) 635-1109
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0067161 | NY | Primary |
Addresses
Primary practice location
1732 Main St
Pleasant Valley, NY 12569-5611
Mailing address
7 Talbot Dr
Pleasant Valley, NY 12569-7624
Phone (845) 635-8224
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5753308 | Other | AETNA | |
| 000471244001 | Other | BCNENY | |
| 027415 | Other | VALUE OPTIONS | |
| 87941 | Other | CIGNA BEH HEALTH | |
| 007641000 | Other | MAGELLAN | |
| 6803296 | Other | VALUE OPTIONS | |
| 1033150 | Other | BEACON HEALTH STRAT | |
| 954895 | Other | MVP HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0067161 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272326400000",
"number": "1164537585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 TALBOT DR",
"city": "PLEASANT VALLEY",
"state": "NY",
"postal_code": "125697624",
"telephone_number": "845-635-8224",
"fax_number": "845-635-1109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1732 MAIN ST",
"city": "PLEASANT VALLEY",
"state": "NY",
"postal_code": "125695611",
"telephone_number": "845-635-8224",
"fax_number": "845-635-1109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERL",
"first_name": "JOSEPH",
"middle_name": "L",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2010-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "0067161",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5753308",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCNENY",
"identifier": "000471244001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "027415",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEH HEALTH",
"identifier": "87941",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "007641000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "6803296",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH STRAT",
"identifier": "1033150",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "954895",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.